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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br /> <br />Notice of Intent to Continue Mining Operations . <br />110(2) Annual Report <br />III IIIIIIIIIIIIIIII <br />999 <br />R~~~IVE© .r ~ <br />Park County <br />M-80-251 ~ ZQ 995 <br />Ansley Flat Pit 5 3 &" <br />04/01 / 95 Division of Minerals & Geology <br />$225.00 (Due on your Anniversary Date> <br />1. a. Permitted acreage: 7 b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <br />3 <br />4 <br />5 <br />6 <br />7 <br />Park <br />ESS <br />Does this mine have a phased reclamation plan? YES <br />Total acres affected during the report year:* .5 <br />Total acres reclaimed for the report year:* 0 <br />Total acres in various stages of reclamation:* <br />a. Backfilled: 0 d. Topsoil replaced: 0 <br />b. Graded: 0 Average topsoil thickness <br />c. Seeded: 0 replaced: 0 <br />List species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* None <br />8. Estimated total acres to be affected in the next report year:* .5 <br />9. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />** IY~IE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a m p is unnec ssary. However, this must be stated above. <br />Signature: ~~~ / ;~~ Date: 2/7 /sJ <br />s~-b <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: Rick Peters i Phone: (719 ) 836-2771 x 283 <br />Company: <br />Address: <br />Park County Road and Bridge <br />P.O. Box I97 <br />Fairplay, CO 80990 <br />Federal Tax ID No. or Social Security No.: <br /> <br />LESS <br />NO <br />^~ <br />ti~ <br />APP <br />